Monophasic synovial sarcoma of the pyriform fossa

2020 ◽  
Vol 13 (11) ◽  
pp. e236204
Author(s):  
Chun Tau Ng ◽  
Eugene Hung Chih Wong ◽  
Narayanan Prepageran
Keyword(s):  
Synovial Sarcoma ◽  
Histopathological Analysis ◽  
Shortness Of Breath ◽  
Lateral Pharyngeal Wall ◽  
Complete Excision ◽  
Pharyngeal Wall ◽  
Pyriform Fossa ◽  
Initial Biopsy ◽  
Disease Free ◽  
Progressive Dysphagia

Head and neck synovial sarcoma is rare. We report the case of a 71-year-old man who presented with progressive dysphagia, odynophagia, shortness of breath on exertion and hoarseness of voice. Nasendoscopy revealed a smooth, non-fungating, non-ulcerative mass arising from the left lateral pharyngeal wall. CT showed a well-defined, heterogenous enhancing lesion arising from the left pyriform fossa. Initial biopsy taken was inconclusive and patient underwent a transcervical complete excision of the tumour, where histopathological analysis confirmed the diagnosis of monophasic synovial sarcoma of the left pyriform fossa. This patient also received adjuvant radiotherapy postoperatively and remained disease free 1 year after completion of treatment.

scholarly journals Synovial sarcoma of the lateral pharyngeal wall

2012 ◽  
Vol 129 (6) ◽  
pp. 327-330 ◽  
Author(s):  
C. Daveau ◽  
G. Buiret ◽  
M. Poupart ◽  
R. Barnoud ◽  
J.-C. Pignat
Keyword(s):  
Synovial Sarcoma ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall

scholarly journals Synovial Sarcoma of the Pharynx: A Case Report

2002 ◽  
Vol 81 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Levent Saydam ◽  
Ahmet Kizilay ◽  
M. Tayyar Kalcioglu ◽  
Bulent Mizrak ◽  
Fatih Bulut
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Synovial Sarcoma ◽  
Neck Region ◽  
Posterior Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Head And Neck Region ◽  
Disease Free

Synovial sarcoma is a malignancy not usually encountered in the head and neck region. We describe a case of synovial sarcoma of the posterior pharyngeal wall in a 14-year-old girl. The mass was completely excised via the transoral route. Postoperatively, the patient received irradiation to 60 Gy. At 40 months of follow-up, the patient remains disease-free.

CINERADIOGRAPHIC ANALYSIS OF MOVEMENT OF THE LATERAL PHARYNGEAL WALL

1969 ◽  
Vol 44 (4) ◽  
pp. 357-363
Author(s):  
NOBUHIKO ISSHIKI ◽  
IWAO HONJOW ◽  
MASANORI MORIMOTO
Keyword(s):  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall

scholarly journals Synovial sarcoma: case report

2017 ◽  
Vol 65 (3) ◽  
pp. 260-264
Author(s):  
Isabella Lima Arrais RIBEIRO ◽  
Larissa Cavalcanti MONTEIRO ◽  
Ana Carolina Rodrigues de MELO ◽  
Tácio Candeia LYRA ◽  
Julio Cesar Campos FERREIRA FILHO ◽  
...  
Keyword(s):  
Tumor Growth ◽  
Synovial Sarcoma ◽  
Fibrous Tissue ◽  
Treatment Protocol ◽  
Neck Region ◽  
Cervical Region ◽  
Histopathological Analysis ◽  
Parotid Region ◽  
Synovial Sarcomas

ABSTRACT Introduction: Synovial sarcomas are rare and aggressive neoplasms located in the head and neck region and usually occurs in young adults. Presentation of case: This report presents a case of synovial sarcoma in a 15-year-old male patient who sought medical treatment for painful symptoms and associated dysphagia. The lesion was nodular, extensive, localized in the parotid region, and extended to the left cervical region. The patient was treated in a referral hospital with a treatment protocol that initially included chemotherapy for six months and surgery to attempt to excise the lesion, but the surgery was ineffective because removal could have damaged important vital structures. The Computed Tomography scan showed a hypodense area with diffuse growth and no involvement of the facial bones and the histopathological analysis revealed pleomorphic and oval spindle cells with rounded epithelial cells that formed nests surrounded by fibrous tissue. The Immunohistochemistry analysis was conclusive for the diagnosis of a high-grade SS in the parotid and left cervical regions. The medical team opted for palliative treatment with cervical radiotherapy. The patient remained hospitalized for four months after the surgery and died after 15 months since the diagnosis for compromise of airway by fast tumor growth. Conclusion: The synovial sarcoma, when diagnosed late may reduce the survival of patients because of the complications that tumor growth can bring to the prognosis and quality of life.

Posterior pharyngeal wall schwannoma

1987 ◽  
Vol 101 (7) ◽  
pp. 749-752 ◽  
Author(s):  
C. Triaridis ◽  
M. G. Tsalighopoulos ◽  
A. Kouloulas ◽  
A. Vartholomeos
Keyword(s):  
Rare Case ◽  
Posterior Pharyngeal Wall ◽  
Posterior Wall ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Severe Difficulty ◽  
Sympathetic Nervous

SummaryA rare case of a schwannoma localized on the posterior pharyngeal wall is presented. It concerns a young man with an inflammatory ulcerated mass in the posterior wall of the pharynx causing severe difficulty in swallowing.Although schwannomas of the lateral pharyngeal wall are common, only one case located on the posterior wall has been described. The origin of these tumours at this particular site is thought to be the sympathetic nervous plexus of the posterior pharyngeal wall.In presenting our case, we comment on the origin of posterior pharyngeal wall schwannomas.

scholarly journals Urachal adenocarcinoma - case report and literature review

2018 ◽  
Vol 75 (10) ◽  
pp. 1045-1048
Author(s):  
Milan Petrovic ◽  
Vladimir Vasic ◽  
Ljubinka Jankovic-Velickovic ◽  
Srdjan Sterovic ◽  
Tomislav Pejcic ◽  
...  
Keyword(s):  
Case Report ◽  
Early Stage ◽  
Histopathological Analysis ◽  
Complete Excision ◽  
Urachal Carcinoma ◽  
Term Survival ◽  
Histologic Subtype ◽  
Mucin Production ◽  
Common Histologic Subtype ◽  
Urachal Adenocarcinoma

Introduction. Urachal adenocarcinoma is extremely rare and comprises from 0.35% to 0.7% of all bladder tumors. The most common histologic subtype of urachal tumors is adenocarcinoma which can be associated with intestinal metaplasia and mucin production. Case report. We report a case of a 53-year-old patient who attented a urologist because of an intermittent haematuria lasting for three months. The ultrasound examination detected infiltration of the bladder at the fundus, 24 ? 29 mm in diameter. By the same wall, next to the tumor, there was an oval hypoechoic lesion about 40 mm in diameter. Computed tomography scan showed a solid, echogenic, strictly limited tumor at the fundus of the bladder, anteriorly, 32 ? 35 ? 22 mm in diameter which was positive after contrast application. The patient underwent partial cystectomy with complete excision of the tumor lesion 1.5 cm in healthy tissue. Histopathological analysis showed diagnosis of Adenocarcinoma mucinosum vesicae urinariae infiltrans. Patohistological findings detected a part of the urachal wall with a thin layer of fibromuscular tissue, chronic inflammation, microcalcifications in the lumen, flattened and desquamated epithelium. One year after the surgery, there were no signs of primary disease or metastases in other organs. Conclusion. Urachal adenocarcinoma is extremely rare. Long term survival could be achieved by surgical treatment in the early stage of the disease which consists of complete resection of urachal carcinoma and partial or total cystectomy.

Applications of Ultrasound in Speech Research

1969 ◽  
Vol 12 (3) ◽  
pp. 564-575 ◽  
Author(s):  
Charles A. Kelsey ◽  
Fred D. Minifie ◽  
Thomas J. Hixon
Keyword(s):  
Head And Neck ◽  
Speech Production ◽  
Vocal Fold ◽  
Diagnostic Ultrasound ◽  
Direct Application ◽  
Physiological Parameters ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Time Motion ◽  
Speech Research

This paper describes techniques employing diagnostic ultrasound for monitoring various physiological parameters within the head and neck during speech production. The theoretical principles underlying these techniques are discussed together with basic instrumentation systems that have direct application to studies in speech physiology. Examples of A-scope measurement of pharyngeal wall depth, B-scans of the trachea, time-motion displays of the moving lateral pharyngeal wall, and Doppler monitoring of vocal-fold velocity are included. It is concluded that diagnostic ultrasound can be a useful tool in speech research.

Monophasic Synovial Sarcoma Arising in the Vulva: A Case Report and Review of the Literature

2008 ◽  
Vol 132 (4) ◽  
pp. 698-702
Author(s):  
Beverly E. White ◽  
Alan Kaplan ◽  
Dolores H. Lopez-Terrada ◽  
Jae Y. Ro ◽  
Robert S. Benjamin ◽  
...  
Keyword(s):  
Synovial Sarcoma ◽  
Soft Tissues ◽  
English Literature ◽  
Review Of The Literature ◽  
First Case ◽  
Additional Surgery ◽  
Synovial Sarcomas ◽  
The Right ◽  
Disease Free ◽  
Vulvar Mass

Abstract Synovial sarcomas most commonly arise in the soft tissue of the extremities. Less commonly, these tumors present in the head and neck, abdominal wall, and other sites. However, synovial sarcoma occurring in the vulvar area is extremely rare. Only 2 previous cases of biphasic synovial sarcoma of the vulva have been reported, but no case of vulvar monophasic synovial sarcoma has been described in the English literature. We report the third case of synovial sarcoma and apparently the first case of monophasic synovial sarcoma arising in soft tissues of the vulva. The patient was a 33-year-old woman who presented for evaluation of a painless vulvar mass. The tumor was located in the deep fibroadipose tissue of the right vulva (6.5 × 4.2 × 3.5 cm). The histology of the lesion was that of a monophasic synovial sarcoma with a hemangiopericytic vascular pattern. A subsequent molecular analysis revealed SYT-SSX2 gene fusion, which confirmed the diagnosis of synovial sarcoma. After an initial wide local excision, the patient developed a recurrence in the right groin and received chemotherapy and additional surgery. The patient is currently disease free, on adjuvant chemotherapy, and being followed up closely.

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